Individual
JOANNE M SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CENTRE DR, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
677 MCKINLEY PKWY, BUFFALO, NY 14220-1521
(716) 864-9238
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006230
NY
Other
Enumeration date
08/17/2008
Last updated
03/16/2010
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